{ "resourceType" : "Observation", "id" : "mii-exa-bildgebung-radiologische-beobachtung", "meta" : { "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-beobachtung"] }, "text" : { "status" : "extensions", "div" : "

English

Generated Narrative: Observation mii-exa-bildgebung-radiologische-beobachtung

Profile: MII PR Bildgebung Radiologische Beobachtung

MII EX Bildgebung Bildnummer: example-series-uid

MII EX Bildgebung SOPInstanz: example-sop-instance-uid

partOf: Procedure Consultation and report by radiologist (procedure)

status: Final

category: Imaging

code: Physical findings of Breast

subject: Erika Beispielpatientin Female, DoB: 1970-01-01

issued: 2024-07-19 12:03:30+0200

value: microcalcifications in the upper outer quadrant in the left breast

bodySite: Breast structure (body structure)

hasMember: Observation/ObsExample

derivedFrom: ImagingStudy: extension = Verdacht auf Karzinom; status = available; modality = Computed Tomography (DICOM#CT); numberOfSeries = 2; numberOfInstances = 390; description = whole body aquisition

Components

-CodeValue[x]
*History of family member diseases notetrue

German

Generated Narrative: Observation mii-exa-bildgebung-radiologische-beobachtung

Profile: MII PR Bildgebung Radiologische Beobachtung

MII EX Bildgebung Bildnummer: example-series-uid

MII EX Bildgebung SOPInstanz: example-sop-instance-uid

partOf: Procedure Consultation and report by radiologist (procedure)

status: Final

category: Imaging

code: Physical findings of Breast

subject: Erika Beispielpatientin Female, DoB: 1970-01-01

issued: 2024-07-19 12:03:30+0200

value: microcalcifications in the upper outer quadrant in the left breast

bodySite: Breast structure (body structure)

hasMember: Observation/ObsExample

derivedFrom: ImagingStudy: extension = Verdacht auf Karzinom; status = available; modality = Computed Tomography (DICOM#CT); numberOfSeries = 2; numberOfInstances = 390; description = whole body aquisition

Components

-CodeValue[x]
*History of family member diseases notetrue
" }, "extension" : [{ "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-series-uid", "valueId" : "example-series-uid" }, { "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-sop-instanz-uid", "valueId" : "example-sop-instance-uid" }], "partOf" : [{ "reference" : "Procedure/mii-exa-bildgebung-radiologische-befundungsprozedur" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "imaging", "display" : "Imaging" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "32422-8", "display" : "Physical findings of Breast" }] }, "subject" : { "reference" : "Patient/mii-exa-bildgebung-radiologischer-patient" }, "issued" : "2024-07-19T12:03:30+02:00", "valueString" : "microcalcifications in the upper outer quadrant in the left breast", "bodySite" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/bodySite", "valueReference" : { "reference" : "BodyStructure/mii-exa-bildgebung-koerperstruktur" } }], "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/900000000000207008/version/20260701", "code" : "76752008", "display" : "Breast structure (body structure)" }] }, "hasMember" : [{ "reference" : "Observation/ObsExample" }], "derivedFrom" : [{ "reference" : "ImagingStudy/mii-exa-bildgebung-bildgebungsstudie-ct" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10157-6", "display" : "History of family member diseases note" }] }, "valueBoolean" : true }] }